OU-KHAM CHANSOMBATH, OTA

Occupational Therapy Assistant

Active Individual
NPI: 1588391767

Practice Address

309 SW 59TH ST STE 305
Oklahoma City, OK 73109

Phone: (405) 355-3239

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 1308 (OK)

Frequently Asked Questions

NPI 1588391767 is the National Provider Identifier for OU-KHAM CHANSOMBATH, OTA, a Occupational Therapy Assistant provider located in Oklahoma City, OK. This NPI was enumerated on August 6, 2022.
OU-KHAM CHANSOMBATH, OTA practices at 309 SW 59TH ST STE 305, Oklahoma City, OK 73109.

Quick Facts

NPI
1588391767
Type
Individual
Enumerated
Aug 6, 2022
Last Updated
Aug 6, 2022

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